Where will patients with DOC go after discharge from the acute care hospital?
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Acute Care Hospital: Is the DOC patient on a vent at time of d/c?
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YES
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NO
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University Crossing Vent/BI beds
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Brooks Rehab Hospital
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Pt receives modified REP program (75-90 min/day)
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Is the pt workers comp?
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YES
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NO
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Pt can remain at UC while on vent- if they are weaned off of vent they are transferred to BI bed for 30 days or until deemed appropriate for transfer to Brooks Rehab
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Pt receives 2 weeks of traditional REP (180 min/day)
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Will the pt be able to be d/c home with family after 2 weeks (pt has involved family, family education is fully completed)
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YES
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NO
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After 2 weeks, pt is d/c to UC to continue with modified REP program (75-90 min/day)
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Pt receives 2 weeks of traditional REP (180 min/day) and family training
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Pt receives 2 weeks of traditional REP (180 min/day)
OR
Pt receives traditional REP until determined to be medically stable (may be less than 2 weeks)
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Pt remains at UC as determined by BWC or returns to Brooks Rehab if appropriate
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After 2 weeks, pt is d/c home with family
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After 2 weeks or when medically stable, pt is d/c to UC to continue with modified REP program (75 min/day)
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** If pt emerges from UWS/MCS they will return to Brooks Rehab Hospital if deemed inappropriate for SNF
-very active
-need for restraints
-medically unstable
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Pt remains at UC for 30 days or as determined by insurance
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DOC Decision Tree
More flowcharts
